Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER LYNN BLACK, LCPC, CCMHC, LBS1
Active Sole ProprietorJENNIFER LYNN BLACK, LCPC, CCMHC, LBS1 is a Professional Counselor healthcare provider located in EVANSTON, Illinois. NPI 1336385103 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · EVANSTON, IL
Registration Details
- NPI Number
- 1336385103
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 30, 2008 (17.603549309004 yrs)
- Last Updated
- May 23, 2018
- License
-
180011432 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1125 CLEVELAND STEVANSTON, IL, 60202Browse IL providers · Browse ZIP 60202
- Phone
- 2248309800
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Specialist
- Additional Specialty
- Health Educator
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in EVANSTON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. POLINA REYNGOLD | PSYD | 1326012816 |
| SHABAD KAUR KHALSA | LCPC, LMFT | 1154365831 |
| MS. RANDY J. WALKER | LCPC | 1225074289 |
| JULIA S BROWN | PH.D., LCPC | 1760416812 |
| MRS. EILEEN H GLENN | L.C.P.C. | 1003823519 |
| MR. DANNIEL JAMES ANTHON | MA, ATR-BC, LCPC | 1083622476 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.